[Surgical treatment of bronchial fistulas after pneumonectomy]. / Khirurgicheskoe lechenie bronkhial'nykh svishchei posle pnevmonéktomii.

The results of surgical treatment of 9 patients with bronchial fistulas after pneumonectomy have been analysed. During the reoperation the bronchial stump was wrapped by the omental flap with vascular pedicle (omentoplasty). In 6 patients omentoplasty was used in urgent repeated transpleural operations, in 3--during the late operations from transsternal transpericardial approach. Wedge resection of the tracheal bifurcation with omentoplasty from transsternal transpericardial approach was performed in 2 patients with a short bronchial stump. 2 patients died after surgery: one--from cardiopulmonary failure, the other one--from the relapse of bronchial fistula. Omentoplasty in patients with primary bronchial fistulas proved to be effective. It is advisable to perform reoperations during the 1st day after complications developed.

[The instrumental extirpation of the esophagus via an abdominocervical approach]. / Instrumental'naia ékstirpatsiia pishchevoda iz abdominotservikal'nogo dostupa.

The authors operated on 6 patients with cancer of the lower thoracic esophagus and cardioesophageal carcinoma, Stage III. All the patients underwent esophageal extirpation from the abdominocervical access by using an extractor inserted into the esophageal lumen through a cut in its wall above the tumor. The esophagus was drawn out from the mediastinum into the abdomen, similar to subcutaneous vein removal by the Bebcock method. A single esophagoplasty was performed in 4 patients. In the postoperative period one patient died from pulmonary embolism. No complications due to the procedure of esophageal removal were observed. In the authors' opinion, during operations using the abdominocervical access, instrumental esophagectomy by means of an extractor is more traumatic and simple than manual esophageal mobilization.

[Treatment of patients with injuries of the ligaments of the knee joint]. / Lechenie bol'nykh s povrezhdeniem sviazok kolennogo sustava

178 patients with various ligamental injuries were treated according to the technique elaborated at the Institute. To restore ligaments preserved tendon homografts from the long fibular tendon with a remained terminal bone fragment were employed. The techniques of Gay-Growth-Smith and Sitenko underlie the methods of tendinoplasty applied. Following the operation therapeutic exercises, using water basin, massage, mechanotherapy and different kinds of physical therapy were employed differentially. Good results were obtained in a vast majority of patients (91.6%).